EAGLES LANDING FAMILY PRACTICE, LLC (NPI# 1144483744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144483744 |
| Entity Type | Organization |
| Organization Name | EAGLES LANDING FAMILY PRACTICE, LLC |
| Practice Address |
1101 Nortec Dr Se Conyers GA 30013-5835 |
| Mailing Address |
1101 Nor Tec Drive Conyers GA 30013-5832 |
| Practice Telephone | 6783747514 |
| Practice Fax Number | 6783747517 |
| Mailing Telephone | 6783747514 |
| Mailing Fax Number | 6783747517 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | JEFF MITCHAM (COO) |
| Authorized Official Telephone | 7709140116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1710079850 | Eagles Landing Family Practice, LLC | Family Medicine | 649 Jonesboro Road, Mcdonough, GA 30253 | 2006-09-28 |
| 1902907207 | Eagles Landing Family Practice, LLC | Family Medicine | 62 Kelly Rd, Mcdonough, GA 30253-6012 | 2006-09-26 |
| 1013018811 | Eagles Landing Family Practice, LLC | Family Medicine | 2330 Patrick Henry Pkwy, Suite 200, Mcdonough, GA 30253-4220 | 2006-09-26 |
| 1649623380 | Eagles Landing Family Practice, LLC | Family Medicine | 1240 Eagles Landing Pkwy, Suite 110, Stockbridge, GA 30281-5170 | 2016-07-18 |
| 1154774883 | Eagles Landing Family Practice, LLC | Internal Medicine | 145 Eagles Walk, Stockbridge, GA 30281-7340 | 2016-07-18 |
| 1578827655 | Eagles Landing Family Practice, LLC | Radiology | 1100 Hospital Dr, Stockbridge, GA 30281-6381 | 2012-07-03 |
| 1073829073 | Eagles Landing Family Practice, LLC | Family Medicine | 2200 Highway 155 N, Mcdonough, GA 30252-4806 | 2010-08-27 |
| 1770744450 | Eagles Landing Family Practice, LLC | Family Medicine | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 | 2008-06-24 |
| 1205919263 | Eagles Landing Family Practice, LLC | Family Medicine | 1502 Highway 16 E, Jackson, GA 30233-5202 | 2006-10-23 |
| Street Address |
1101 NORTEC DR SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-5835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174171 | Monika Bartoli | Nurse Practitioner | 1101 Nortec Dr Se, Conyers, GA 30013-5835 | 2019-09-23 |
| 1467968099 | Vannessa Evans | Internal Medicine | 1101 Nortec Dr Se, Conyers, GA 30013-5835 | 2017-12-19 |
| 1609238310 | Elizabeth Anne Carstensen | Family Medicine | 1101 Nortec Dr Se, Conyers, GA 30013-5835 | 2016-03-22 |
| 1326435009 | Francisco J Echevarria-santiago | Internal Medicine | 1101 Nortec Dr Se, Conyers, GA 30013-5835 | 2015-04-21 |
| 1598007585 | Ramin Sadeghi | Family Medicine | 1101 Nortec Dr Se, Conyers, GA 30013-5835 | 2013-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912361809 | Loreli Garnica Moya | Family Medicine | 1910 Highway 20 Se Suite 270, Conyers, GA 30013 | 2016-04-07 |
| 1013281948 | Family & Occupational Medicine of Conyers | Family Medicine | 905 Flat Shoals Rd Se, Conyers, GA 30094-5911 | 2012-02-23 |
| 1598061293 | Vohra Wound Physicians of Fl, LLC | Family Medicine | 2385 Wall St Se Ste 116, Conyers, GA 30013-2187 | 2011-01-28 |
| 1346478732 | Susan Thomas | Family Medicine | 1478 Dogwood Dr, Se Suites B & C, Kaiser Permanente Conyers Medical Office, Conyers, GA 30013 | 2009-06-24 |
| 1316165665 | Conyers Family Practice Inc | Family Medicine | 1080 Green Street Se, Conyers, GA 30012 | 2007-04-23 |
| 1023103744 | Virginia Birnbach Hyland | Family Medicine | 2800 Highway 138 Sw Ste A, Conyers, GA 30094-3929 | 2006-10-04 |
| 1851496939 | Clinica Agave Clinic | Family Medicine | 425 Sigman Road, Suite #109, Conyers, GA 30012 | 2006-09-14 |
| 1568473809 | Kinzi V Shewmake | Family Medicine | 1301 Sigman Rd Ne Ste 230, Conyers, GA 30012 | 2006-08-11 |
| 1902859044 | Jacek Eustachy Lyszkowicz | Family Medicine | 1366 Wellbrook Cir Ne, Suite B, Conyers, GA 30012-3872 | 2006-05-18 |
| 1508820077 | Gary Delano Mitchell | Family Medicine | 1910 Hwy 20 Se, Suite 270, Conyers, GA 30013 | 2006-04-13 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.